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Query: UMLS:C0019621 (
Langerhans cell histiocytosis
)
3,250
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A rare case of gastric
polyposis
caused by infiltration of Langerhans' cells is reported. A 53 year old Japanese woman complaining of vague abdominal discomfort, was found at endoscopy to have numerous polyps all over the gastric wall. An endoscopic biopsy specimen showed characteristic infiltration of Langerhans' cells in the lamina propria of the mucosa. Functional abnormalities such as impaired gastric acid secretion or malabsorption were not associated with this lesion and the patient was treated conservatively. During follow up over two years, she had a cutaneous eruption with infiltration of histiocytes and osteolytic lesions in the skull. However, no progressive changes occurred in the stomach. This probably benign self-limiting lesion of gastric
histiocytosis X
may be one of the manifestations of multifocal
histiocytosis X
, but its aetiology and appropriate treatment have not yet been determined.
...
PMID:Gastric polyposis caused by multifocal histiocytosis X. 164 44
Langerhans cell histiocytosis
(
LCH
) of the alimentary tract is a rare condition, and
LCH
of the stomach especially so. We report a histologically and endoscopically unusual case of gastric
LCH
, the diagnosis of which was based on gastric mucosal biopsy specimens from an adolescent with multi-organ
LCH
and striking gastric
polyposis
. Microscopically, the gastric mucosa was expanded by discrete granulomatous microaggregates of Langerhans cells, resulting in a close resemblance to other, more common nonnecrotizing granulomatous gastritides. The diagnosis of
LCH
was confirmed immunohistochemically and ultrastructurally. To our knowledge, this is the first report of gastric
LCH
with a granulomatous histologic pattern, and the third to cause diffuse gastric
polyposis
.
Langerhans cell histiocytosis
should be included in the histologic differential diagnosis of granulomatous gastritis, as well as in the endoscopic differential diagnosis of gastric
polyposis
.
...
PMID:Langerhans cell histiocytosis of the stomach. A cause of granulomatous gastritis and gastric polyposis. 797 22
Filiform
polyposis
is a rare condition of uncertain pathogenesis that is usually found in association with Crohn's disease, ulcerative colitis, intestinal tuberculosis or
histiocytosis X
. We report seven interesting cases of
polyposis
with various pathologic components, mainly located in the left side of the colon with no associated inflammatory bowel disease, intestinal tuberculosis or
histiocytosis X
. Multiple finger-like polypoid lesions with the appearance of stalactites were noted on the left side of the colon, especially in the sigmoid area, at the time of colonoscopy. The polyps had a variety of sizes and shapes and were shown to have various histopathologic components among the different patients. Although filiform
polyposis
localized in the sigmoid colon appears not to have high oncogenic potential, periodic follow-up seems to be needed.
...
PMID:Filiform polyposis in the sigmoid colon: a case series. 2048 May 34